Breast Augmentation

The Breast Augmentation procedure, also referred to as breast implant surgery, can increase breast size, restore symmetry and be a part of breast reconstructive surgery.

Dr. Hatem Elfieshawy partners with Dr. Michael Zacharia to ensure that every patient can achieve his or her appearance goals. Dr. Elfieshawy brings to the team extensive experience with a range of aesthetic surgery and cosmetic procedures.

Dr. Elfieshawy graduated with a Bachelor of Medicine and Surgery (MBBCh) and has extensive experience working with patients to meet their cosmetic goals. Dr. Elfieshawy offers an artistic eye to the cosmetic surgeries he performs, producing results that exceed the expectations of his patients.

After receiving his Bachelor of Medicine and Bachelor of Surgery degree with honours in Egypt (2002), Dr Hatem continued with his specialty training in general and cardiothoracic surgery. Dr Hatem continued gaining qualifications which include a Masters in Surgery (MscSurg).

Hatem then passed the Royal College of Surgeons England’s primary exam. In 2016, Dr Hatem started sub-specialty training in cosmetic surgery and medicine with the ACCS. He obtained his fellowship after 3 years of full-time training and working between Brisbane, the Gold Coast and Sydney.

What is Breast Augmentation Surgery?

The Breast Augmentation procedure, also referred to as breast implant surgery, can increase breast size, restore symmetry and be a part of breast reconstructive surgery.

Am I a good candidate for Breast Augmentation Surgery?

Some of the indications that you may be a good candidate for Breast Augmentation surgery could include the following.

  • Breasts that are too small for the body frame
  • Lopsided breasts, with one larger than the other
  • Loss of volume after weight loss of pregnancy
  • Dissatisfaction with breast size
  • Revision surgery
  • Breast reconstructive surgery after a mastectomy

Do you qualify for Breast Augmentation Surgery?

The ideal candidate for the Breast Augmentation surgery a woman over the age of 18, who is in good physical and mental health. It is recommended that those who are smokers stop smoking at least 6 weeks prior to the surgery. It’s also suggested that patients avoid alcohol and stop taking any supplements that many have the potential for causing complications during the procedure and the recovery phase.

During your consultation, Dr. Elfieshawy will explain to you what needs to be accomplished in order for you to be eligible for the procedure


How can Dr. Elfieshawy get the best in results for you?

Your initial consultation with Dr. Elfieshawy is your opportunity to discuss the concerns you have about your breast size, and also discuss the size that you’d like to go up to. A physical examination will be conducted, and the patient’s complete medical history will be reviewed.

Plastic surgery is highly individualised, so each factor unique to you will be taken into consideration when your surgery is being planned. No two surgeries are alike, and Dr. Elfieshawy will use his experience and talents to ensure that your results help you to meet your cosmetic goals.

How much does the Breast Augmentation Surgery cost?

The costs associated with Breast Augmentation surgery can vary between individuals. Some patients opt for a lift at the same time as getting the implants. This can have an impact on the costs associated with the surgery.

The costs will be based upon a number of factors, including the complexity of the procedure, the costs of anaesthetic, and hospital fees. Keep in mind that surgeries performed purely for cosmetic reasons will not be covered by health insurance. Patients are encouraged to discuss their coverage with their insurance companies prior to scheduling the surgery.

How can I best prepare for Breast Augmentation Surgery?

During your initial consultation, Dr. Elfieshawy will discuss the procedure and potential risks involved with the surgery. He will also ensure you have realistic expectations and learn what is to be expected during the recovery process.

Each patient is provided with a preoperative checklist that will cover everything that needs to be accomplished prior to the surgery. This could include ensuring a healthy diet and workout routine so you are in great shape on the day of your surgery. Any supplements and medications that may potentially lead to complications during surgery should be stopped.

Preparing for your surgery will also mean making sure that you have help at home during the recovery phase. You’ll be unable to raise your arms or care for your personal needs for at least the first week after your surgery.

Types of breast implants to consider

There are two types of breast implants, silicone and saline. Each type of breast implant brings with it its own benefits that can help you to achieve your cosmetic goals. The best way to determine which of the two is best for you is to discuss your goals with Dr. Elfieshawy during your consultation.

Considering implant size

It can be tempting to go up several sizes when you undergo the breast augmentation procedure. The concern about going up too many sizes is that breasts that are too large for the body frame can look unnatural. They can also lead to the very same concerns that women with naturally large breasts live with; including neck and shoulder pain.

Discussing your goals with Dr. Elfieshawy can help you to determine the right size for your body frame and for your cosmetic goals.

What you need to know about anaesthesia

The Breast Augmentation surgery is performed under general anaesthesia. If you have ever had a poor reaction to anaesethesia in the past, be sure to let Dr. Elfieshawy know. Any prior complications should be discussed, in order to ensure your safety during and after the procedure. It’s important to note that most patients tolerate the anaesthesia well.

The procedure itself

The Breast Augmentation surgery can last between one and two hours, based upon the technique being performed and on whether a lift is being included as a part of the surgery. The surgery is performed as an outpatient procedure. During the procedure itself, your surgeon will make incisions under the arms, around the nipples or under the breast, based upon the technique being used and on the type of implants being inserted.

Once the implants are in place, the incision will be closed with sutures.

What to expect after the surgery?

Patients can expect to experience some pain and discomfort, along with swelling, in the days right after surgery. Patients will also not be able to raise their arms and may have a limited range of arm motion. Prescription pain medications will be offered, with instructions that detail how patients can best control the pain. Bruising, stiffness and numbness can also often be experienced during the recovery phase. Patients may be quick to tire and should rest when they need to.

What are the risks and complications involved in Breast Augmentation surgery?

No surgical procedure can be considered risk-free, even with the healthiest patient and most skilled surgeon. Breast augmentation surgery does carry some risks but they are minimal and complications are rare.

The potential risks associated with breast augmentation surgery include infection, excessive bleeding and blood clots. Some of the more serious complications include:

  • Implant ruptures. It is possible for an implant to tear, which means it will need to be removed and replaced.
  • Capsular contracture. If the scar tissue that forms around the implant hardens, it can cause pain and the implant to distort. Again, removal and replacement will be required.
  • Implant migration. While uncommon, it is possible for a breast implant to move out of place, particularly if the implant pocket is too large or the breast tissue becomes stretched out.
  • ALCL. Also known as anaplastic large-cell lymphoma, ALCL is a rare form of blood cancer that is said to be linked to breast implants. You can find out more about it here.

How long is the recovery period?

Each patient heals at her own pace from surgery. Most patients will need to be on restrictive activity for six weeks after the surgery. A reduction in pain and discomfort typically occurs after the first postoperative week. By the sixth to eighth week patients will be feeling much better and will be able to resume normal physical activities.

The swelling and bruising from the surgery is typically drastically reduced by the twelve-week mark.

How long will I be out of work?

Unless the job requires heavy lifting and a lot of physical activity, most patients will be ready to return to work after two weeks of recovering at home. Patients will be cleared to return to physical activities after the sixth week of recovery.

What kind of scarring is possible after Breast Augmentation?

During your consultation with Dr. Elfieshawy he will cover the techniques he uses for the Breast Augmentation procedure. He will also discuss the scars that will be possible after the surgery. Scars may look extreme right after your surgery, but they will fade in time. There are creams and other solutions that can further encourage scar fading.

How long will it take to see the final results?

The results of the Augmentation procedure will be apparent immediately. There will, however, be a significant amount of swelling and bruising immediately after the surgery. Once the swelling subsides, the true results of the surgery will be seen.

Are you ready to work with Dr. Elfieshawy? Call to book your consultation for your Breast Augmentation.


Get in touch with the team at Dr Zacharia’s Double Bay clinic to find out what results we could achieve for you.

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Contact Dr Michael Zacharia

Level 1 /424 New South Head Road
Double Bay, NSW 2028

Phone (02) 9192 1600 | Fax (02) 8072 6824


Opening Hours
Monday – Friday 8:30am – 5:30pm

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